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HomeMy WebLinkAboutPermit Mechanical 1984-3-6 ~ .' ~ / K/a. ~~~~ .=, ~~~~j- '~roSI ~~~~ .r-?e~~~ ~~M' ~:~~~~~7~ ~~4fr. 'OFB:D~=~ J'<~ 'J 'OF~ I WATERSUPPLY ~ ~~~: NN<EANDADDRESS / '~:~<~~.~ ~"~;?.z?-? " - ~ - - TELE~~BER . -::z;/ ~/~~ ~R>l~;/.~D~~ ~'T~~ . / I HAVE CAREFULLY EXAMINED THE COMPLETED APPLI*TI FOR PERMIT, and do hereby certify that all information hereon is true and correct, and that I have the following legal interest in the property: owner of record; Ocontract purchaser; Dauthorized agent with evidence of authority attached. I f:.:.rther certify that any and all work performed ha be done in accordance with the Ordinances of Lane County and the Laws of the Stato of Oregon pertaining to the work described herein, and that NO OCCUPANCY ""ill be made of any structure ""ithout the permission of the Building Division. I fur- ther certify that registration ""ith the Builder's' Board is in full force and effect as required by ORS 701.055, that if exempt tho basis for exemption is noted hereon, and that only subcontractors and employees ""ho are in compliance with ORS 701.055 will be used on this project. I HAVE READ AND CZ0;;;:HOkk/'~ _ ~bk - - NAME: f'please print) SIGNATURE FOR OFFICE USE ONLY Application!' ~ ~_ ~J / Perm1 t # 0~t' -, ~ I"f '7 OTWO copies of Plans DThree Copies of Plot Plans UMech/Plumbing Checklist o Legal Interest Document o Plan Check Info Sheet / PROpOSED USE OF PROPERTY' ,BlReside.ntial D Industrial D Commercial D Public. ":i ,;;L/Jo"1~ . \ JtVI.tMcJJ n R~ DATE I READ THIS SECTION CAREFULLY. ~U~~ORIZATION HAS BEEN BASED ON THE FOLLOWING o PLANNING/ZONING: Zone /0/ ff Partition # Parcel # ::::::S~ '~~~7~~;J ~7~~~~/.ar , ... ./ /" ~/ r _"""J 7b -c:::r r ~._ Date: ~ ~ n CONDITIONS~ / ~ Parcel SiZ~ ~ / o FLOODPLAIN: In flood hazard area? 0 No 0 Yes, SEE ATTACHED SHEET. Date: Installation Specifications: Gallon Tank Lineal Feet of Drainfield Installation Recor'd Issued? DYes 0 No Maximum Depth of Trenches o SANITATION, S. 1. * B. P. fI COH.\1ENTS: Ix- PLANS EXAMINATION, Type -. Group- 1" CO~lENTS'~-' f?7e-~~~d M:5I1P~ Date: / n us.fA4}/~t/ IJ)$fN~} Date: ~ -29/,'l"f' n TOTAL VALUATION $ CONSTRUCTION AUTHORIZED BY THIS PERMIT -- t Description .-d' ./ /7 ~~~/L all/ ./ ..Au" . gA~//~ L' -' :J $ $ $ $ $ $ $ " ,..,. $$ _-?/~ ~, TOTAL FEE r.A'""T"" PERMIT APPROVED BY BUILDING OFFICIAL/DESIGNEE (per o~f1"~(pu,,J ~,!/,~.rft LANE COUNTY DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061, 125 EAST 8TH AVENUE, EUGENE, OREGON 97401 SEE REVERSE FOR INSPECTION INFORMATION Sq, Ft, Fixed Feel Unit Cost Floodplain Fee Subsurface Fees /~c-- / r~J- 74 / , Building fee Uech/Plmbg Fee plans Check Fee S ta te Surcharg~ DEQ Surcharge C 14-25 ..... " . ... , . . SETBACKS AND OTHER CONDITIONS OF APPROVAL MUST BE STRICTLY OBSERVED, VIOLATION CAN RESULT IN REVO- CATION OF THIS PERMIT, CITATION UNDER PROVISIONS OF LANE COUNTY'S INFRACTION ORDINANCE. AND/OR OTHER REMEDIES ALLOWED BY LAW, WHEN READY FOR INSPECTION. CALL 687-4065, A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE FOR INSPEC- TION REQUESTS MUST BE GIVEN. Have the following informatfon'ready: permft numher,:jOD address, type' of inspection, when it will be ready, your name and phone nUmber, and any special directions to site. BUILDING DIVISION, REQUIRED INSPECTIONS, '. 1. Founda ticn Inspection: To be made after trenches a.re .excava.ted and forrTls_ er,ec't;ed,-and when all- materials tor the foundation are delivered on the job. Where concrete~from a'central mixing plant (cormnonly ter~ed "transit mixedtl) is to be u~ed, materials ne_~d..,n<?t pe on ~h~' j.o.~. Concrete Slab or Under-Floor Inspection: To be made after all in-slab or under-floor building service equipment, condui t,. pIPIng accessories, and other ~E..~J.llary equipment i terns are__in place bu~ bef~re. any concrete is. poured or flo,or, .sheathing\install~d, .incIUd~ng ~he subfloor. Framinq & Insula tion - Inspections: . To' be made after the roo~., all framing,. f ire blocking, - and bracing are in place and all pipes, fireplaces, chimneys, and vents are complete and all rough elect:ical and plumbing are approved. All wal~ insulation- a~~.y~por barr~e~ ar~ in.place~ Lath and/or Gypsum Board Ins?ection: To be made after all lathing and gypsum board, interior ari'Cl"exterIOr, is in place})Ut betore any plastering is applied. and before gypsum board, joints. and fasteners are taped 'and finished. 2, 3, 4. 5. Final Inspection: To be made after the building is comple~~.and before occupancy. APPROVAL REQUIRED. No work shall be done on any part of the building.or structure beyond the point indicated in each successive inspection without first obtaining the approval of the.building official. Such approval shall be given only after an inspection shall have been made of each successive step in the construction as indicated by each of the inspections required. ~- NOTE: Al~ building p~rmits require inspec~io~s ~or the work ~uthorized, such as b~~.not~~m~ted to: A. Block Wall: To be made ~fter reinforcing is in place, but ~efore an~'grout is poured. This inspect~on is required for each bond .beam pour. There w~ll be no approval until the plumbing an~ electrical inspections have been made and approved. 'j B. Wood Stove: To be made after. completion of masonry (if applicable) and when installation is complete. Installation shall be in accordance with an approved, nationally recognized testing agency and t~e manufacturer's installation instr~ctions. C. Mobile Home: An inspection is required after the mobil~ home is connected to an approved sewer or ,septic syst~~.for s_e!:b~ck requir.ertiep.t.s,: blo.cking,_ f09~ing .c.o.nne_ctio_n, tJedowns, skirting, and plumbing connections. 1. . Footings-and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer. 2. Mobile home minimum finish floor elevation shall be certified when required by a flood- plain management letter. 3. Mobile home tiedowns, when required, and skirting shall be installed and ready for inspec- tion within at least 30 days after occupancy. Tiedowns and skirting shall be installed per enclosure. D. Swimminq Pool: Below grade when steel is in place and before concrete is poured. Above grade when pool-rs-installed. APPROVED PLANS MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS. OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS. SUSPENSION OR REVOCATION MAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. ANYONE PROCEEDING PAST, THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. , ' ' SUBSURFACE AND. ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: 1. 2, Permits shall be effective for one year from, the: date'~f issuance: .. ..... . - ...... , Upon completing the construction for which a.permit has been issued, the permit holder shall notify the Lane County Department of Planning and Community Development by submitting the installation. record form. The Department shall inspect the construction to determine If it complies w~th the~rules contained in this division. If the construction does comply with such rules, the Department shall issue a certifica te of satisfactory completion to the permi tl' holder. If the construction does not comply with such rules, the Department shall notify the permit holder and shall require satisfactory completion before issuing the certificate. Failure to meet the requirements for satisfactory completion within a reasonable time constitutes a vio- lation of ORS 454.605 to 454.745 and this rule. Setbacks - Subsurface Sewaqe Disposal From: Interior property lines Edge of road right-of-way Building foundation Wells, other water sources Septic Tank 10' 10' 5 ' 50' Drainfield 10 ' 10' .101 100' /: ., ~ I , ... AC~ITY INFORMATION-SHEET COMPLETE THIS SECTION. INCOMPLETE FORMS WILL BE REJECTED! 1 ~\t(I.e..S t L'llf\olo.... ~c...ke.-t.-t PERSON MAKING REQUEST ~ \ \ \ (V\. c... \.L e.:-n, <- \ e..- \J \.JJ MAILING ADDRESS ~ S'f1"; ^~~.~\d o~ 0(1 If.l 8 CIT~ ' STATE ZIP CODE i.?-lr le'133 BUSINESS TELEPHONE # HOME TELEPHONE # 2 . PROPERTY ADDRESS (IF DIFFERENT FROM MAILING ADDRESS) s;.'X VY\. e.... PROPERTY OWNER :" elL m e- MA I LI NG ADDRESS .<" OL Y'r\ e.... CITY STATE BUSINESS TELEPHONE # HOME TELEPHONE # (from tax maps in Department of Assessment and Taxation or from tax statement) . ()Z st. 5 RANGE SECTION 3 MAP & PARCEL NUMBER (REQUIRED INFORMATION) j7 TOWNSHIP 4=-'fi;6() TAX LOT S OR PARCEL # TOWNSHIP RANGE SECTIDN TAX LOT{S) OR PARCEL # TOWNSHIP RANGE SECTION TAX LOTtS) OR PARCEL # TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP: 4 SUBDIVISION (if applicable) 5 REQUEST (state exactly what you plan to do) LOT · 6 DIRECTIONS TO SITE:'!- ,\.0 u.J~ yV\.,C-.\t:!.. e /'\'"2" e...... \\1l.<...l '::) 300\.. ~" \ \) lL v-JO-,-\ a.~-\-e. i<- ( '1~ h. <2,-t, O'-V'\. ,,,~ -' ** FOR STAFF USE ONLY ** NUMBER DATE ZONE/LAND USE: BY: DATE: TIME IN: OUT: LAND MANAGEMENT DIVISION / 125 E. 8th AVE., EUGENE, OR 97401 / 687-4061 .Ia'ne county ..... . . ~ ZIP COD~ ZONING ZONING ZONING ACRES BLOCK r< ~ k.-\ ., -i :;0 V> . -i .r-: i. . " , J . .\, . . '1 , , ~. ~. 0 ~ . . ,~. ;J :: 0 I'l. !I III . ~.. i. 1- ,- 1I , . ,. . . . . . . . .11 . . . . . , ,- . . , . LANE COUNTY DEPT ENV MGT RECEIPT I 62384 DATE 030684 tAPPLICANT TACKETT, LINDA ADDR 8111 MCKENZIE HWY, SPRINGFIELD. ORE ~ .I'LI 1702363000200 SUElDIV LOT ElLK. ~EW ElLDG TYPE USE R BDRMS 0 UNITS 001 STORIES IElLDGS 001 PHONE 726 6733 II OWNEF( NME .' ADDR . CODE APPL NO ACTION DESCRIPTION S(~ FT UNIT COST VALUATION FEE DAY,~. ElP '. BP , '~.IF' ~ BP :' 'B" -. PL. , 'MECH , .~\LIR PCK ,l MECH LC 62384 WS 'J.'CK ~l SUR . NO. F I XTUF(ES : . .NO. CONNECTORS: MECHANICAL FEE STATE SURCHARGE PLAN CHECK FEE 15.00 EACH = 41. 651. . 19.00 4.75 0.76 I'r I . ~. -j CATG: tIlS~QU : S.TAKEN APP o BY RLH RA FP SDS SI PCK 1 OTH, ISS . ., "- 6 24.51 CK . EST. COMPLETION tATE TOTAL FEE** ~ " . -- --- I' 1 ,/ ) . ;.--:.~.'\... , \ ~OLD . SLIP 6ne county ~ APPLICATION # 0623-84 ------ LOCATION 8111 McKenzie Hwy., Spfd. LiI.!d_a_,!ac~ett '__~_"_____ _'_'_ NAME 8111 McKenzie Hwv. ADDRESS Snr~Jlqffpln_ Oppqnn q7477 ZTPCODE The above application is being held for the following reasons: 1) Your ication form states that you are unsure of the construction or type 0 imney that exists. Carefully estab1is construction and size the existing chimney is and how i ,8 supported. Provide a sketch of the construction including showing hm; t chimney connector. pipe from the stove to the chinmey is 'thimh1ed' to the masonry of the existing chimney. \ 9 Q)f r)\~ Q(' Include all dimensions. Rog;er McGuckin SIGNATURE AVAILABLE BY APPOINTMENT ONLY (NO WALK-INS) 03-22-.84 DATE 687-4061 PHONE HOURS This application will be held until 04-05-84 If the information required above has not been furnished by that date your application will be cancelled. RETURN THIS SLIP WITH THE ABOVE REQUESTED INFORMATION. BUILDING & SANITATION / PLANNING & COMMUNITY DEVELOPMENT DEPARTMENT 125 East 8th Avenue / Public Service Building / Eugene, Oregon 97401 / (503)687-~OGl LAI r.ollNTY I TRS# \'l-08--3\.C),S\d-o'D OWNER'S NAME ' ~f'CV'Q[1 +' A\~(). ~CU')..o oW CONTRACTOR'S NA~ .. . . T~CTION RECORll , DATE ISSUED: 3 \rl~\ 5\4 PERMIT# PHONE NUMBER '7~ 1.(1 -In"1 ::~:< PHONE NUMBER ~z,9" f)f SET BACK REQUIREMENTS # PLUMBING FIXTURES CL, FRONT CL, SIDE INTERIOR REAR WO~K AUTH~RI~D BY PERM.IT _ ~^ )t)~Q .2:>~\1'.J) ) DIRECTIO S TO SUE "2 ~ ...l.. "'t> llv\.r lY\>.,}-.+-\~, 'lJ (N\U.}'{)A~-p,O ~AJ '\9 ST. ~ ~I>~~ l\kA..\J ) ,^ t\QA.. _ S~mRES~(\f\~ ~.~ \-, A FOOTI1G ~ F~U~DA\IdN 131' IMb~@ HZl8L~~~l^ 0 ~~ShCTION Approved Date IC~~e~tion U~ate Inspector UNDERSLAB PLBG.[] IUNDERFLR PLBG.[] INSPECTION Approved Date ICorrection Date SLAB INSPECTION Approved Date PLUMBING GROUNDWORK INSPECTION Approved Date ICorrection ICorrection ROUGH PLUMBING (TOP OUT) INSPECTION Approved Date ICorrection FRAMING INSPECTION Approved Date ROUGH MECHANICAL Approved Date ICorrection /Correction 'INSULATION I VAPOR BARRIER INSPECTION Approved Date ICorrection LATH I GYPSUM BOARD INSPECTION Approved Date /Correction FINAL MECHANICAL 0 IWOOD STOVE ~ Approved ./2J/ DateLj-/1 ~fl'f ICorrection FINAL PLUMBING INSPECTION Approved Date ICorrection Date Inspector Inspector Date Inspector Date Inspector Date Inspector Date Inspector Date Inspector Date Inspector Date Inspector \k, we:... ./ " - Date Inspector 'FINAL INSPECTION BUILDING [] IMOBILE HOME [] lAG PLACEMENTO Approved Da te ICorrecti on Date CERTIFICATE OF OCCUPANCY [] Approved Date Insp. M74-197 Inspector TEMPORARY CERTIFICATE OF OCCUPANCY [] Approved Date Insp.